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NPI Code Detail

MEDICARE: ANDREW T PHELPS LMSW

MEDICARE: ANDREW T PHELPS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2025036969MO

General Provider Information

NPI Number : 1770843401
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW T PHELPS LMSW
Provider Business Mailing Address
First Line : PO BOX 844715
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-4715
Country : US
Telephone Number : 417-761-5214
Fax Number : 417-761-5065
Provider Business Practice Location Address
First Line : 323 E GRAND ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-1447
Country : US
Telephone Number : 417-761-5600
Fax Number : 417-761-5601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2012
Last Update Date : 09/15/2025

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Directions to “ ANDREW T PHELPS LMSW” Practice Location

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